Individual
GERALD DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10005 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3221
(313) 782-4098
(313) 782-4977
Mailing address
3425 LONE PINE RD, WEST BLOOMFIELD, MI 48323-3327
(734) 657-6317
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301081745
MI
Other
Enumeration date
05/21/2008
Last updated
06/23/2014
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